Comprehensive Optimization At-time of Radical Cystectomy Intervention
Comprehensive Optimization At-time of Radical Cystectomy Intervention Through Peri-operative Patient Care Program
About This Trial
The proposed study is aimed at a comprehensive optimization at-time of radical cystectomy (COARC) intervention that focuses on patient optimization throughout the perioperative continuum, from the pre-operative setting to the post-operative period, among patients undergoing radical cystectomy for bladder cancer. This multi-modal strategy will focus on three phases of care around surgery: the pre-operative, peri-operative, and post-operative phases. The intervention group will focus on multiple areas of patient optimization including remote patient monitoring for the earlier identification of potential complications. The overall study mission is to decrease complication rates after radical cystectomy using this comprehensive approach.
Who May Be Eligible (Plain English)
Original Eligibility Criteria
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Treatments Being Tested
Preop Intervention and Monitored Recovery
Perioperative Optimization of Senior Health (POSH) Program; patient monitoring by device orientation, initial intake, education; ERAS protocol, inpatient geriatric co-management; and remote monitoring with Acticare device; post-op continuity of care
Usual Care
ERAS, Usual referral and recovery care, and Standard follow-up protocol